Organization
FLATBUSH FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEOFILA M MALANUM M.D (DOCTOR)
(718) 856-2800
Entity
Organization
Contact information
Practice address
595 FLATBUSH AVE, BROOKLYN, NY 11225-4903
(718) 856-2800
(718) 282-8903
Mailing address
595 FLATBUSH AVE, BROOKLYN, NY 11225-4903
(718) 856-2800
(718) 282-8903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
130479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00238862
—
NY
Enumeration date
07/13/2011
Last updated
07/13/2011
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